HomeMy WebLinkAboutX2021-3032 - Permit ApplicationWorksheet for Combo Building & Solar I
Residential City of Newport Beach - Bq glnq Divi;
NOTE: PLAN CHECK FEES DUE AT WE
F Grading j—Drainage r Elec F_ Mech F plum Cu Yd
/fect Address (Not mailingaddress F Flood Fire A
) Liq Landslide �N/A`P166� Suite No
//
"M,
lOZO � o#_9Nn, 71^L MAIL 9
Description of Work
a
UsConst Type
•.Fjr�TW2o�..+. k �wNnn,-, 1;E�wnLr< tangy � 13►59 IStnNn.
J. # Stories#Units (if Res
`Lo1J CoF ?At.o 1SUa�p a 3r -i> �ECL)I�
New/Add SFr 0 — Remodel SF Valuation _ /�/S. S� q,. Garage/New/Add r—�--' Material/Laborg
P "it),000.p0
OWNER'S NAME Last
auf3uRa L�flLt) LLC First
Owner's Address - - -- - -- _ - ---
Owner's E-mail Address
G2o MwrLrle�oLe> _AVF• C7C7fLl►-\ES (fPA,3A.'Ta". )I .co"
City Logo araEt M o L , State Ca
- ZipP 7L2S _ Telephoned—'
NAME Last I L
Applicant's Address
City
ARCHITECT/DESIGNER'S NAME
State F_
First I 1-7L.I J
Applicant's E-mail Address
ojvYnn e SIWC-2MANPRAJC-cTS . Gorh
Zip [ Telephone °Igct 344
Last I 'bLAr-Priv- First
DC --Mira Lic. No. I--_
Architect/Designer's Address Architect/Designer's E-mail Address
1431 &JLFwr`yat�, �
--A .ra
0 IOU F= EK D� FS t hna
Cit)State Telephone"7UnNra Zip Sw`1
35 5� (,tl loa
ENGINEER'S NAME Last (.s A b HSSOG 1ATES, I11virst �0 Lic. No.I—
Engineer's Address Engineer's E-mail Address
1"(' 1-), (e7A(LJEi AJE S. SUITE 2.00
City WET LoV,N/'. State clA ZIPF61 Telephone[-)
I llq x'22 0030
CONTRACTOR'S NAME/COMPANY FStLV Mr]J CoNSµLt'„�h Lic. No. 1o3S912 Class
Contractor's Address Contractor's E-mail Address
21 V% OAv CREST rN2 glYn/1 4eSiW15-nm ,o PazOese TS . Cow
City State v Zipei7Telephone rj YS( 5 L9 3'13,
SETBACKS REAR
SETBACKS LEFT
USE ZONE
SETBACKS FRONT
SETBACKS RIGHT
DEVELOPMENT NO
PERMIT NO. /
PLAN CHECK N0.
PLAN CHECK FEES $